THE FACTS-THE FIRST SEIZURE AND THE DIAGNOSIS OF EPILEPSY: OTHER CAUSES OF IMPAIRED OXYGEN SUPPLY TO THE BRAIN-RIGORS, NIGHT TERRORS, RAGE ATTACKS/OUTBURSTS OF TEMPER
Occasionally the shivering associated with high fever, particularly frequent in infections of the urinary tract, may be confused with a convulsion.
Night terrors-These episodes are common in children between the ages of 5 and 10 years and frequently worry parents. Typically a child who has been in bed, asleep for 1-3 hours will waken suddenly, screaming. The child will be sitting up in bed, wide-eyed and unresponsive; they cannot be comforted. Within a minute or so, the child will lie down, turn over, and go back to sleep. There is no memory or recollection of the event the next morning. Reassurance (of the parents) is all that is required.
Rage attacks/outbursts of temper-Bizarre, semi-purposeful behaviour and confusion may rarely be part of a complex partial seizure arising from a temporal lobe. However, violent behaviour or uncontrolled rage are almost never a type of epileptic seizure. They are usually provoked by someone or something, even though the cause may be trivial.
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